v3.26.1
Segment Information
 6 Months Ended
Jun. 30, 2026
Segment Reporting [Abstract]  
Segment Information
Note 15 – Segment Information
See Note 1 to the Consolidated Financial Statements for a description of our segments. A description of our basis for reporting segment operating results is outlined below. Intersegment revenues primarily reflect pharmacy and care services transactions between the Evernorth Health Services and Cigna Healthcare segments. The President and Chief Executive Officer is the chief operating decision maker ("CODM") responsible for making decisions about resources to be allocated to each segment and assessing its performance.
The Company uses "pre-tax adjusted income (loss) from operations" and "adjusted revenues" as its principal financial measures of segment operating performance because management, including the CODM, believes these metrics reflect the underlying results of business operations and facilitate analysis of trends in underlying revenue, expenses and profitability to enable resource allocation decisions. We define pre-tax adjusted income (loss) from operations as income (loss) before income taxes excluding pre-tax income (loss) attributable to noncontrolling interests, net investment gains/losses, amortization of acquired intangible assets and special items. The Cigna Group's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting are also excluded. Special items are matters that management, including the CODM, believes are not representative of the underlying results of normal, recurring operations due to their nature or size. Adjusted income (loss) from operations is measured on an after-tax basis for consolidated results and on a pre-tax basis for segment results.
The Company defines adjusted revenues as total revenues excluding the following adjustments: special items and The Cigna Group's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting. Special items are matters that management, including the CODM, believes are not representative of the underlying results of normal, recurring operations due to their nature or size. We exclude these items from this measure because management, including the CODM, believes they are not indicative of past or future underlying performance of the business.
The Company does not report total assets by segment because this is not a metric used by the CODM to allocate resources or evaluate segment performance.
The following table presents the special items charges (benefits) recorded by the Company, as well as the respective financial statement line items impacted:
Three Months Ended June 30,Six Months Ended June 30,
2026202520262025
(In millions)Pre-taxAfter-taxPre-taxAfter-taxPre-taxAfter-taxPre-taxAfter-tax
 Strategic optimization program
(primarily Selling, general and administrative expenses)
$70 $53 $129 $98 $450 $343 $344 $261 
 Integration and transaction-related costs
   (Selling, general and administrative expenses)
34 26 74 56 69 53 290 220 
 Charges associated with litigation matters
   (Selling, general and administrative expenses)
77 60 — — 66 52 — — 
 Deferred tax expenses, net
(Income taxes, less amount attributable to noncontrolling interests)
— 17 — 17 — 33 — 34 
 (Gain) on sale of businesses
(6)(3)— — (6)(6)(41)(115)
Total impact from special items$175 $153 $203 $171 $579 $475 $593 $400 
Summarized segment financial information was as follows:
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
Three months ended June 30, 2026
Revenues from external customers $61,077 $10,268 $51 $— $71,396 
Intersegment revenues372 1,395 7 (1,774)
Net investment income
19 175 73 5 272 
Total revenues61,468 11,838 131 (1,769)71,668 
Net investment results from certain equity method investments — (110)— — (110)
Adjusted revenues$61,468 $11,728 $131 $(1,769)$71,558 
Pharmacy and other service costs58,531 — 
Medical costs— 8,161 
Selling, general and administrative expenses1,044 2,293 
Other segment items (1)
Interest (expense) and other— 2 
Less: Income attributable to noncontrolling interests230 — 
Pre-tax adjusted income (loss) from operations1,663 1,276 21 (410)2,550 
Income (loss) before income taxes
$1,423 $1,308 $10 $(484)$2,257 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(230)— — — (230)
Net investment losses (gains) (2)
76 (127)10 — (41)
Amortization of acquired intangible assets387 2 — — 389 
Special items
 Charges associated with litigation matters
— 77 — — 77 
 Strategic optimization program
7 22 1 40 70 
 Integration and transaction-related costs
— — — 34 34 
 (Gain) on sale of businesses
— (6)— — (6)
Pre-tax adjusted income (loss) from operations$1,663 $1,276 $21 $(410)$2,550 
Other segment information
Depreciation and amortization564 83 2 6 655 
(1) Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(2) Includes Net investment gains/losses as presented in our Consolidated Statements of Income, as well as the Company's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting, which are presented within Fees and other revenues in our Consolidated Statements of Income.
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
Three months ended June 30, 2025
Revenues from external customers $57,486 $9,358 $98 $— $66,942 
Intersegment revenues308 1,313 13 (1,634)
Net investment income
31 127 73 5 236 
Total revenues57,825 10,798 184 (1,629)67,178 
Net investment results from certain equity method investments— (44)— — (44)
Adjusted revenues$57,825 $10,754 $184 $(1,629)$67,134 
Pharmacy and other service costs54,939 — 
Medical costs— 7,482 
Selling, general and administrative expenses1,074 2,180 
Other segment items (1)
Interest (expense) and other1 2 
Less: Income attributable to noncontrolling interests117 — 
Pre-tax adjusted income (loss) from operations$1,696 $1,094 $25 $(382)$2,433 
Income (loss) before income taxes
$1,430 $1,098 $(20)$(487)$2,021 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(117)— — — (117)
Net investment (gains) losses (2)
(80)(20)4 — (96)
Amortization of acquired intangible assets416 6 — — 422 
Special items
 Strategic optimization program
47 10 41 31 129 
 Integration and transaction-related costs
— — — 74 74 
Pre-tax adjusted income (loss) from operations$1,696 $1,094 $25 $(382)$2,433 
Other segment information
Depreciation and amortization$587 $81 $9 $5 $682 
(1) Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(2) Includes Net investment gains/losses as presented in our Consolidated Statements of Income, as well as the Company's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting, which are presented within Fees and other revenues in our Consolidated Statements of Income.
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
Six months ended June 30, 2026
Revenues from external customers$119,283 $20,307 $98 $— $139,688 
Intersegment revenues583 2,707 10 (3,300)
Net investment income
44 278 143 9 474 
Total revenues119,910 23,292 251 (3,291)140,162 
Net investment results from certain equity method investments
— (87)— — (87)
Adjusted revenues$119,910 $23,205 $251 $(3,291)$140,075 
Pharmacy and other service costs114,231 — 
Medical costs— 15,825 
Selling, general and administrative expenses2,093 4,594 
Other segment items (1)
Interest (expense) and other(1)4 
Less: Income attributable to noncontrolling interests456 — 
Pre-tax adjusted income (loss) from operations3,129 2,790 48 (814)5,153 
Income (loss) before income taxes
$2,984 $2,789 $34 $(1,280)$4,527 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(456)— — — (456)
Net investment (gains) losses (2)
(185)(98)10 (3)(276)
Amortization of acquired intangible assets775 4 — — 779 
Special items
Strategic optimization program
11 35 4 400 450 
Integration and transaction-related costs
— — — 69 69 
Charges associated with litigation matters
— 66 — — 66 
(Gain) on sale of businesses
— (6)— — (6)
Pre-tax adjusted income (loss) from operations$3,129 $2,790 $48 $(814)$5,153 
Other segment information
Depreciation and amortization$1,124 $166 $4 $11 $1,305 
(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(2)Includes Net investment gains/losses as presented in our Consolidated Statements of Income, as well as the Company's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting, which are presented within Fees and other revenues in our Consolidated Statements of Income.
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
Six months ended June 30, 2025
Revenues from external customers $109,488 $22,526 $192 $— $132,206 
Intersegment revenues1,956 2,544 25 (4,525)
Net investment income
62 260 142 10 474 
Total revenues111,506 25,330 359 (4,515)132,680 
Net investment results from certain equity method investments— (94)— — (94)
Adjusted revenues$111,506 $25,236 $359 $(4,515)$132,586 
Pharmacy and other service costs106,060 — 
Medical costs— 17,867 
Selling, general and administrative expenses2,098 4,992 
Other segment items (1)
Interest (expense) and other1 4 
Less: Income attributable to noncontrolling interests219 — 
Pre-tax adjusted income (loss) from operations3,130 2,381 25 (793)4,743 
Income (loss) before income taxes
$2,538 $2,462 $(40)$(1,291)$3,669 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(219)— — — (219)
Net investment (gains) losses (2)
(84)(67)7 — (144)
Amortization of acquired intangible assets831 13 — — 844 
Special items
 Strategic optimization program
68 10 58 208 344 
 Integration and transaction-related costs
— — — 290 290 
 (Gain) on sale of businesses
(4)(37)— — (41)
Pre-tax adjusted income (loss) from operations$3,130 $2,381 $25 $(793)$4,743 
Other segment information
Depreciation and amortization$1,171 $164 $11 $10 $1,356 
(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(2)Includes Net investment gains/losses as presented in our Consolidated Statements of Income, as well as the Company's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting, which are presented within Fees and other revenues in our Consolidated Statements of Income.
Revenue from external customers includes Pharmacy revenues, Premiums, and Fees and other revenues. The following table presents these revenues by product, premium and service type:
Three Months Ended June 30,Six Months Ended June 30,
(In millions)2026202520262025
Products (Pharmacy revenues) (ASC 606)
Network revenues$33,326 $30,582 $64,406 $58,794 
Home delivery and specialty revenues20,444 19,974 40,232 38,911 
Other revenues3,720 3,433 7,146 6,510 
Total Evernorth Health Services
57,490 53,989 111,784 104,215 
Other Operations
— 14 — 27 
Corporate and eliminations(318)(354)(575)(1,960)
Total Pharmacy revenues
57,172 53,649 111,209 102,282 
Insurance premiums (ASC 944)
Cigna Healthcare
U.S. Healthcare
Employer insured4,989 4,684 9,985 9,372 
Medicare Advantage— — — 2,363 
Stop loss2,138 1,879 4,254 3,747 
Individual and Family Plans860 941 1,733 1,800 
Other525 462 1,032 2,334 
U.S. Healthcare
8,512 7,966 17,004 19,616 
International Health1,144 1,026 2,257 2,004 
Total Cigna Healthcare9,656 8,992 19,261 21,620 
Other Operations55 78 108 159 
Corporate and eliminations148 86 302 113 
Total Premiums
9,859 9,156 19,671 21,892 
Services (Fees) (ASC 606) and other revenues (1)
Evernorth Health Services
3,959 3,805 8,082 7,229 
Cigna Healthcare
2,007 1,679 3,753 3,450 
Other Operations
3 19 — 31 
Corporate and eliminations(1,604)(1,366)(3,027)(2,678)
Total Fees and other revenues (1)
4,365 4,137 8,808 8,032 
Total revenues from external customers$71,396 $66,942 $139,688 $132,206 
(1)Other revenues for the three months ended June 30, 2026 and 2025 were $315 and $114 million, respectively and for the six months ended June 30, 2026 and 2025, were $474 million and $276 million, respectively.
Financial and performance guarantees. Evernorth Health Services may also provide certain financial and performance guarantees, including a minimum level of discounts a client may receive, generic utilization rates and various service levels. Clients may be entitled to receive compensation if we fail to meet the guarantees. Actual performance is compared to the contractual guarantee for each measure throughout the period, and the Company defers revenue for any estimated payouts within Accrued expenses and other liabilities (current). These estimates are adjusted and paid following the end of the annual guarantee period. Historically, adjustments to original estimates have not been material. This guarantee liability was $1.7 billion as of June 30, 2026 and $1.8 billion as of December 31, 2025.